bethchpn

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1. N95 mask use to place PICCs

   bethchpn replied to bethchpn's topic in Infusion

   Well I was called in to the ED and the patient was sick with a high fever of 103. I have read some things about CV and they are now feeling it can be airborne. A lot is unknown. I am 70 yrs old and my husband is high risk. Am I being paranoid? My da...

2. N95 mask use to place PICCs

   bethchpn posted a topic in Infusion

   Just wondering if any PICC nurses are using N95's when they place PICC lines

3. 2015 allnurses Salary Survey Results

   bethchpn replied to allnurses's topic in General Nursing

   Small town in Oregon, 44 yrs nursing experience, 16 yrs at this hospital. Close to top salary (one more step to go) 48.31/hr. Oncology certified so 1.50/hr more. No weekends, call and 8-5. Best job I have had in all my years of nursing. Salary isn't...

4. Tricks of the Trade for PICC placement

   bethchpn replied to Infusion50's topic in Infusion

   I agree with all the ideas Vascular nurse 1006 has. i would add two more. My favorite if a pt is awake to have them cough at the point right before it goes up the jugular. Second I have had some really tough ones that I have just waited a short tim...

5. Being blamed for fall after shift

   bethchpn replied to notyetnurse's topic in General Nursing

   As a nurse of 44 yrs others might disagree but I have different advise. I feel the best action would be to let your supervisor know that you have learned a lot from the experience and will be able to give better care for patients in the future. You a...

6. Lied to in Interview

   bethchpn replied to westieluv's topic in General Nursing

   It took me a long time to learn one simple fact.... If you make a bad choice you can always make a different choice. I have been a nurse for 42 years and it probably took me 30 years to learn this. I was raised that once you made a decision you had t...

7. My preceptor is everything they taught us NOT to be...

   bethchpn replied to Live..&..Learn's topic in Relations

   Been a nurse for 40 years and my only advice is to learn quickly that the only thing we can change is ourselves. The sooner you learn it the better. You in general will always want, nurses,patients, loved ones etc to change but it is fruitless. Conce...

8. Where PICC lands!

   bethchpn posted a topic in Infusion

   We are a small hospital that has about 100-120 PICCs a year. We are trying to get updated equipment that uses ECG guidance but at this time we can't afford it or it is being decided somewhere in the financial planning for next year. We use US and She...

9. Port and TPN use

   bethchpn replied to bethchpn's topic in Infusion

   Thanks for all the feedback. One question. This particular pt is an outpatient that infuses 12 hrs a day. Do you all instruct pt to pull back for blood? I have read some instructions say to just have pt saline flush and not check for blood return and...

10. Port and TPN use

    bethchpn posted a topic in Infusion

    I wonder if any of you have used Ports for long term use of TPN. How do you keep it from getting a sluggish blood return. Do you TPA. It seems like it is more from the TPN that from a fibrin sheath. Like to have some feedback here. Thanks

11. How to deal with catheter issue when insert a PICC line.

    bethchpn replied to fangguixiao's topic in Infusion

    When this happens I pull back from the jugular and then have the patient cough and it usually drops down.

12. First PICC insertion!

    bethchpn replied to francoml's topic in Infusion

    Totally agree with iluvivt. Don't let them put you out on your own after 3 PICCs. It is a cost saving technique for the hospital but you will be much happier if you get more experience if you do more with an experienced RN. In our hospital now we hav...

13. I'm bad w/ultrasound, any advice?

    bethchpn replied to deftonez188's topic in Infusion

    The angle of insertion is related to how deep the vessel is. More shallow less angle, deeper more angel. Will come with experience.

14. PICC Line Protocols

    bethchpn replied to sdixon22's topic in Infusion

    Iluvivt could you send me a copy of you protocol and procedure also. I have been placing PICCs for 8 yrs and did my precasting at OHSU in Portland Or but they do not do that now so I have to train them. What is required for someone to be PICC certifi...

15. Being Sued / Losing License

    bethchpn replied to Meraki's topic in Professionalism

    I have been a nurse for 38 yrs. I have maybe seen 5 court cases but usually it was against the hospital or MD and the nurse just needed to testify. I went to a conference probably 25 years ago on malpractice and one thing the presenter said has alway...